Mahjoubi Hayder, Mtiraoui Ahlem, Mallouli Manel, Zedini Chakib, Nakhli Jaafar
University of Sousse, Faculty of Medicine Ibn El-Jazzar, Farhat Hached Hospital, Department of Psychiatry, Research Laboratory LR12ES04, 4002, Sousse, Tunisia.
Tunisian Society of Clinical Sexology, Tunis, Tunisia.
Int J Sex Health. 2024 Sep 4;36(4):636-645. doi: 10.1080/19317611.2024.2399119. eCollection 2024.
LGBT individuals in Tunisia face discrimination and stigmatization due to prevailing socio-cultural and legal conditions which can negatively impact their mental health.
This study examined the relationship between perceived stress, heterosexist experiences, and self-esteem in a sample of LGBT young Tunisians.
We conducted an analytical cross-sectional study. Participants were recruited using a snowball sampling technique via social media. Heterosexism Harassment, Discrimination and Rejection Scale (HHRDS), Perceived Stress Scale (PSS-10), and Rosenberg Self-esteem Scale (RSES) were used as measurement instruments.
A total of 73 young LGBT individuals were included. The multivariate analysis indicated that discrimination ( = 4.58, CI95% = [3.36, 5.81], < 10) and self-esteem ( = -0.88, CI95% = [-1.09, -0.67], p < 10) were significant predictors for perceived stress. The moderation model revealed that self-esteem acts as a moderator in the relationship between discrimination and perceived stress (effect = -0.22; p = .02).
The study emphasizes the importance of self-esteem in improving the mental health and well-being of the LGBT community.
由于突尼斯普遍存在的社会文化和法律状况，该国的 LGBT 群体面临歧视和污名化，这可能对他们的心理健康产生负面影响。
本研究调查了突尼斯 LGBT 青年样本中感知压力、异性恋主义经历和自尊之间的关系。
我们进行了一项分析性横断面研究。通过社交媒体采用滚雪球抽样技术招募参与者。使用异性恋主义骚扰、歧视和排斥量表（HHRDS）、感知压力量表（PSS - 10）和罗森伯格自尊量表（RSES）作为测量工具。
总共纳入了 73 名 LGBT 青年个体。多变量分析表明，歧视（β = 4.58，95%置信区间 = [3.36, 5.81]，p <.01）和自尊（β = -0.88，95%置信区间 = [-1.09, -0.67]，p <.01）是感知压力的显著预测因素。调节模型显示，自尊在歧视与感知压力之间的关系中起调节作用（效应 = -0.22；p =.02）。
该研究强调了自尊对于改善 LGBT 群体心理健康和幸福感的重要性。
